© 2015 The Authors.We give certain properties which are satisfied by the descendant set of a vertex in an infinite, primitive, distance transitive digraph of finite out-valency and provide a strong structure theory for digraphs satisfying these properties. In particular, we show that there are only countably many possibilities for the isomorphism type of such a descendant set, thereby confirming a conjecture of the first Author. As a partial converse, we show that certain related conditions on a countable digraph are sufficient for it to occur as the descendant set of a primitive, distance transitive digraph